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Please runt ori e; Form designed for use on elite 12- Itch ewriter Form Approved OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21 Generator ID Number 22.Page 23,Manifest Tracking Number <br /> (Continuation Sheet) f L 01013664542FL E <br /> 24.Generators Namo <br /> Dollar Tree Dc WC4 <br /> 25.Transporter Company Name U S.EPA ID Number <br /> US EPA ID Number <br /> 26.Transporter Company Name <br /> 27a. 27b.U.S.DOT Description(indudrig Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29 Total $0.Unit 31 Waste Codes <br /> HM and Packing Group(if any)) "7-No, Type Quantity WIR01. <br /> tli.ntCn KUKA fiazarcious waste, ligand DE= 01471+ R 331 .. <br /> C.Non RGRA hazardous waste, sql i.d 7 DF 00854 P 331 <br /> w <br /> . r <br /> o <br /> s <br /> 0 <br /> . r <br /> 32.Special Handling Instruction andAddilionat information 5. 100852(State Req ul at gid Liquids) 6, 100853(State F egu l at ed <br /> Solids) <br /> 33.Transpoder-AdmoWedqment of Receipt of Materials <br /> Lu Pnntedlfyped Name Signature Month Day Year <br /> O <br /> 0. <br /> in 34.Trans der Acknoy_WgmentofRecoi tofMaterials <br /> Pnntedlfyped Name Signature Month Day Year <br /> 35.D;screpancy <br /> J <br /> LL � <br /> a36.Hazardous Waste Report Management Method Codes(I e„codes for hazardous waste treatment,disposal,and recycling sY4tems) <br /> P EPA Form 8700-22A(Rev.3.05) previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR STATE(IF REQUIRED) <br />